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How Do My Employees Open an HSA Account?

5 Facts on Opening an HSA Account

  1. Beginning January 1, 2004 individuals and their employers and family members under the age of 65 can make contributions to a Health Savings Account (HSA).
  2. A person can make tax-deductible contributions to an HSA even if he/she does not itemize deductions on his/her tax return.
  3. A company can make tax-free contributions to workers’ HSA accounts.
  4. Employer contributions are treated as "employer-provided coverage for medical expenses" under an accident or health plan, and are excludable from the employee's gross income.
  5. 5. All contributions are not subject to the FICA, Federal Unemployment Tax Act or the Railroad Contributions Tax Act.

HSA Accounts Can Be Used to Pay for:

  • Un-reimbursed medical expenses
  • Retiree health insurance
  • Prescription drugs

What If Employees Don’t Use Up All Their HSA Funds?

Unused funds in an HSA account can continue to grow over time and don’t need to be used up by year-end (which is the case for Flexible Spending Accounts).

  • HSA funds can grow in the account, tax-deferred.
  • There are no taxes on any investment growth while the money remains in the account.
  • No federal tax is charged if the money is withdrawn for medical needs.

How Do My Employees Open an HSA?

A person can enroll in an HSA through an employer health plan, if such an option is available, or enroll in such a plan on their own.

Aetna Inc. says it has signed 25 large employers and over 200 small employers, and is rolling out a plan for individuals. According to the Treasury guidelines the HSA money can be put into any investment that has been approved for IRA investing.

Understanding the HSA Cash Flow:

  1. Employee and employer pay monthly premiums to a high-deductible health plan.
  2. An individual contributes to his/her HSA through a pretax payroll deduction that can be up to the amount of the deductible of their health plan.
  3. The employer can also elect to contribute to the employee's HSA.
  4. The funds in the HSA account earn investment income free of tax.

Example: A member that has a health plan with a $1,000 deductible and 20% coinsurance incurs a $10,000 medical bill.

  1. The individual will pay the $1,000 deductible out of his/her HSA.
  2. The individual pays $1,800 out-of-pocket co-insurance.
  3. The health plan pays the $7,200 due on the bill.
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